Laparoscopic treatment of incarcerated hernia through right broad ligament in patients with bilateral parametrium defects

Leone, Vincenzo and Misuri, Daniele and Faggi, U. and Giovane, A. and Fazio, C. and Cardini, S. (2009) Laparoscopic treatment of incarcerated hernia through right broad ligament in patients with bilateral parametrium defects. Il giornale di chirurgia, 30 (4). pp. 141-143. ISSN 1971-145X

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Abstract

We present the first case reported in the literature of small bowel obstruction due to internal incarcerated hernia throught a diagnosed bilateral broad ligament defect, and treated by laparoscopy. A 36-year-old white woman, gravida 0, para 0, was admitted to our hospital with intestinal obstruction symptoms. A laparoscopic approach was performed with 3 trocars and internal incarcerated hernia due to a defect in the right broad ligament was found. There was a similar defect in the left broad ligament. The small bowel, once reduced,appeared viable. Closure of both defects was carried out by laparoscopy with 2-0 monofilament absorbable running suture.The patient’s postoperative course was unremarkable and she was dicharged from the hospital 4 days after the surgical procedure. The classification of defect was a bilateral fenestrae type I defect. Congenital ethiology is plausible because of the presence of bilateral defects and the absence of surgical trauma, pregnancy, pelvic inflammatory disease, endometriosis in the clinical history

Item Type:	Article
Uncontrolled Keywords:	Internal hernia, Broad ligament, Small bowel obstruction, Laparoscopy
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	04 Feb 2016 12:11
Last Modified:	04 Feb 2016 12:11
URI:	http://eprints.bice.rm.cnr.it/id/eprint/5694

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